Sec. 15. “Grievance” means a written complaint submitted in accordance with the formal grievance procedure of a health maintenance organization by or on behalf of:

(1) the enrollee or subscriber regarding any aspect of the health maintenance organization relative to the enrollee or subscriber; or

Terms Used In Indiana Code 27-13-1-15

  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
(2) an individual who would be an enrollee or a subscriber under an individual contract or a group contract regarding the health maintenance organization’s decision to rescind the individual contract or group contract.

As added by P.L.26-1994, SEC.25. Amended by P.L.160-2011, SEC.26.